American Family Home Care Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AMERICAN FAMILY HOME CARE INC

Practice address

1722 Sachtjen St
Madison, WI 53704-3332

Phone

(612) 323-0175

NPI assigned

Oct 21, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abdirahman Mohamed Omar, OWNER

Title

Manager

Phone

(612) 323-0175

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1487475778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 SACHTJEN ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043332",
            "telephone_number": "612-323-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 SACHTJEN ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043332",
            "telephone_number": "612-323-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FAMILY HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-323-0175",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.